PROVIDENCE NETWORK

DENVER, CO
NPI1033978853
Former Legal Business NameTHE EXECUTIVE NETWORK
Entity TypeOrganization
Authorized ContactDEREK KUYKENDALL
Executive Director
303-860-8484
Organization Subpart ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-03-14
Last Update Date2024-03-14
Business Address
PROVIDENCE NETWORK
2514 CHAMPA ST
DENVER, CO 80205-2643
Phone number: 303-744-3986
Mailing Address
PROVIDENCE NETWORK
801 N LOGAN ST
DENVER, CO 80203-3114
Phone number: 303-744-3986